Document Detail


Minimally invasive revascularization strategies for chronic lower limb ischemia.
MedLine Citation:
PMID:  16543211     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lower extremity wounds resulting from ischemia are increasingly becoming a common indication for surgical revascularization. Techniques in minimally invasive vascular surgery for the treatment of lower extremity chronic ischemia have expanded rapidly in recent years. The current standard of care with which all new modalities should be compared is the restoration of arterial flow via direct arterial revascularization using the autogenous reversed saphenous vein that can yield limb salvage rates of approximately 95%. Percutaneous transluminal angioplasty and stenting (PTA/S), cryoplasty, catheter-directed atherectomy, laser-assisted PTA/S, drug-eluting stents, and subintimal angioplasty are emerging minimally invasive modalities used for the treatment of lower extremity ischemia. Early success rates using many of these techniques have been promising. The outcomes of randomized controlled trials with long-term follow-ups are needed to make confident remarks about the effectiveness of these techniques.
Authors:
Bart E Muhs; Paul J Gagne; Thomas Maldonado; Peter Sheehan
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The international journal of lower extremity wounds     Volume:  5     ISSN:  1534-7346     ISO Abbreviation:  Int J Low Extrem Wounds     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-17     Completed Date:  2006-07-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101128359     Medline TA:  Int J Low Extrem Wounds     Country:  United States    
Other Details:
Languages:  eng     Pagination:  35-9     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, New York University School of Medicine, New York, NY 10016, USA. muhsb01@med.nyu.edu
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MeSH Terms
Descriptor/Qualifier:
Angioplasty / methods
Chronic Disease
Humans
Ischemia / surgery*
Leg / blood supply*
Stents
Surgical Procedures, Minimally Invasive / methods
Vascular Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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